SSM MEDICAL GROUP INC. (NPI# 1194033316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194033316 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP INC. |
| Other Organization Name | SSM HEALTH MEDICAL GROUP |
| Practice Address |
2024 Dorsett Vlg Maryland Heights MO 63043 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 3145900550 |
| Practice Fax Number | 3145900560 |
| Mailing Telephone | 6364985973 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | KAREN REWERTS (VP FINANCIAL OPERATIONS) |
| Authorized Official Telephone | 3149892034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MO | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | MO | Podiatric Medicine & Surgery Service Providers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 502915705 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053616110 | Ssm Medical Group Inc. | Orthopaedic Surgery | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044 | 2011-01-21 |
| 1164581526 | Ssm Medical Group Inc. | Pharmacy | 711 Veterans Memorial Parkway, Suite 102, St. Chalres, MO 63303-2106 | 2006-12-08 |
| 1528503133 | Ssm Medical Group Inc. | Podiatrist | 172 Professional Pkwy, Troy, MO 63379 | 2017-01-05 |
| 1467997155 | Ssm Medical Group Inc. | Podiatrist | 722 N State Highway 47 Ste B, Warrenton, MO 63383 | 2017-01-04 |
| 1124579966 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1011 Bowles Ave, Suite 400, Fenton, MO 63026-2395 | 2016-10-17 |
| 1063960409 | Ssm Medical Group Inc. | Orthopaedic Surgery | 816 S Kirkwood Rd, Suite 105, Saint Louis, MO 63122-6056 | 2016-09-14 |
| 1285004598 | Ssm Medical Group Inc. | Pain Medicine | 12255 Depaul Drive, Suite 120, Bridgeton, MO 63044 | 2015-09-29 |
| 1447633557 | Ssm Medical Group Inc. | Orthopaedic Surgery | 400 1st Capitol Dr, Suite 100, Saint Charles, MO 63301 | 2015-07-07 |
| 1437573920 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1475 Kisker Rd, Suite 100, Saint Charles, MO 63304 | 2014-02-05 |
| 1043518350 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385 | 2011-03-10 |
| Street Address |
2024 DORSETT VLG |
| City | MARYLAND HEIGHTS |
| State | MO |
| Zip Code | 63043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548233455 | Timothy W Jennings | Family Medicine | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2006-02-10 |
| 1942821707 | Mary Rachel Borders | Nurse Practitioner | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2020-05-04 |
| 1467007898 | Jennifer Elizabeth Marlatt | Nurse Practitioner | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2019-08-02 |
| 1578827101 | James Richard York IIi | Family Medicine | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2012-06-28 |
| 1902169972 | Charles S Larsen | Family Medicine | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2012-06-24 |
| 1780900456 | Kathy Miller | Nurse Practitioner | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2010-04-20 |
| 1821031774 | Leonard G Lucas | Family Medicine | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2006-06-14 |
| 1760456743 | Ssm Depaul Medical Group, Inc. | Family Medicine | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2006-02-15 |
| 1619940277 | Matthew Miriani | Family Medicine | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1770004707 | Taylor Anne Jordan | Specialist/Technologist | 1885 Mckelvey Hill Dr., Apt 303, Maryland Heights, MO 63043 | 2017-06-29 |
| 1528507167 | Erica K Mazurkiewicz | Counselor | 12061 Dorsett, Maryland Heights, MO 63043 | 2017-02-15 |
| 1851756217 | Crpt, LLC | Physical Therapist | 12674 Dorsett Road, Maryland Heights, MO 63043 | 2015-12-29 |
| 1871930032 | Rachel Michele Gill | Chiropractor | 11d Worthington Access Dr., St. Louis, MO 63043 | 2013-05-29 |
| 1487913299 | John Martin Dds | Dentist | 12131 Dorsett, St 211, Maryland Heights, MO 63043 | 2012-05-14 |
| 1518287648 | Pharmacy Services Inc. | Pharmacist | 212 Millwell Dr., Suite A, St. Louis, MO 63043 | 2010-06-11 |
| 1447578000 | Rxoutreach | Pharmacy | 3171-3183 Riverport Tech Center Dr, Maryland Heights, MO 63043 | 2010-05-06 |
| 1811129257 | Gene Paul Barbour | Internal Medicine | 1 Reading, Marilyn Heights, MO 63043 | 2009-08-19 |
| Find all providers in zip 63043 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566464 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 3183 Riverport Tech Center Dr, Maryland Heights, MO 63043-4825 | 2017-09-08 |
| 1225342405 | Med Assist Pharmacy | Durable Medical Equipment & Medical Supplies | 11551 Adie Rd, Maryland Heights, MO 63043-3517 | 2010-07-30 |
| 1396069977 | Chalmers Homes Inc. | Durable Medical Equipment & Medical Supplies | 45 Progress Pkwy, Maryland Heights, MO 63043-3708 | 2010-03-25 |
| 1740344522 | Rehab Medical of St. Louis, Inc. | Durable Medical Equipment & Medical Supplies | 12 Worthington Access Dr, Maryland Heights, MO 63043 | 2006-12-19 |
| 1194730333 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12509 Dorsett Rd, Maryland Heights, MO 63043-3909 | 2006-07-29 |
| 1194758185 | Biomedical Systems Corporation | Durable Medical Equipment & Medical Supplies | 77 Progress Pkwy, Maryland Heights, MO 63043-3701 | 2006-07-10 |
| 1386194827 | The Smile Company, Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 12300 Dorsett Rd, Maryland Heights, MO 63043-3906 | 2016-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | MARYLAND HEIGHTS |
| Zip Code | 63043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.